基于循证医学理念的护理应用于重症急性胰腺炎患者的价值及对其生命质量的影响

The value of nursing based on the idea of evidence-based medicine in patients with severe acute pancreatitis and its impact on their life quality

目的分析基于循证医学理念的护理应用于重症急性胰腺炎患者的价值及对其生命质量的影响。方法选取2019年7月至2021年7月无锡市人民医院消化内科收治的100例重症急性胰腺炎患者作为研究对象,按照随机数字表法分为对照组与观察组,每组50例。对照组行常规护理,观察组行基于循证医学理念的护理。比较两组的症状缓解情况、血清康复自我效能指标[WBC、C反应蛋白(CRP)、血淀粉酶(AMS)、血清脂肪酶(LPS)]、希望水平评分及生命质量评分。结果观察组高热、腹部疼痛和腹胀的消失时间及排气恢复时间均短于对照组,差异有统计学意义(P<0.05)。护理后,观察组血清WBC、CRP、AMS、LPS水平均低于对照组,差异有统计学意义(P<0.05)。护理后,观察组积极行动态度、对未来与当前的积极态度、与他人维持亲密关系的积极态度评分及总分均高于对照组,差异有统计学意义(P<0.05)。护理后,观察组标准生理组分、标准心理组分的生命质量评分均高于对照组,差异有统计学意义(P<0.05)。结论基于循证医学理念的护理应用于重症急性胰腺炎患者中的价值显著,有助于缓解患者症状,改善血清指标,提高希望水平及生命质量。

Objective To analyze the value of nursing based on the idea of evidence-based medicine in patients with severe acute pancreatitis and its impact on their quality of life.Methods 100 patients with severe acute pancreatitis were admitted to the Gastroenterology department of Wuxi People's Hospital from July 2019 to July 2021 were selected as the research subjects,and they were divided into the control group and the observation group according to the random number table method,with 50 cases in each group.The control group were given routine nursing care,and the observation group were given nursing care based on the concept of evidence-based medicine.The symptom relief,serum rehabilitation self-efficacy in-dicators(WBC,C-reactive protein[CRP],blood amylase[AMS],serum lipase[LPS]),hope level and quality of life scores were compared between the two groups.Results The disappearance time of hyperthermia,abdominal pain and abdominal distension and the recovery time of exhaust in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).After nursing,the levels of serum WBC,CRP,AMS and LPS in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After nursing,the scores of positive attitude towards action,positive attitude towards future and present,positive attitude towards maintain-ing close relationship with others and total scores in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).After nursing,the life quality scores of standard physiological components and standard psychological components in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The nursing based on the concept of evidence-based medicine has significant value in the application of severe acute pancreatitis patients,which can help to allevi-ate the symptoms of patients,improve serum indexes and improve the level of hope and quality of life.